Siviq Scores
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Balance Sheet
Assets
Down$1,104,705
Down $43,807 (-3.8%) from 2011
Net Assets
Down$1,067,644
Down $38,192 (-3.5%) from 2011
Liabilities
Down$37,061
Down $5,615 (-13%) from 2011
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Down$182,298
Down $17,348 (-8.7%) from 2011
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2011 to Jun 30, 2012
- Signed
- May 13, 2013
- Return Version
- 2011v1.5
- Gross Receipts
- $147,055
Mission and Program Overview
Mission
Friendly visits, excellent care; every patient, every time.
Filing and Contact Details
Filer
- EIN
- 31-0927482
Raw XML AppendixShowing 400 of 644 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/ActivitiesConductedPartnership | 0 | 0 |
| IRS990/ActivityOrMissionDescription | 0 | THE PRIMARY PURPOSE OF HOLZER FOUNDATION IS TO ASSURE THE CONTINUING ADVANCEMENT OF HEALTH AND MEDICAL CARE, ALONG WITH EDUCATION AND RESEARCH BY RAISING, MANAGING AND INVESTING GIFTS AND BEQUESTS TO ADVANCE HEALTH CARE THROUGH THE DISTRIBUTION OF THESE DONATIONS. |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | 100 JACKSON PIKE |
| IRS990/AddressPrincipalOfficerUS/City | 0 | GALLIPOLIS |
| IRS990/AddressPrincipalOfficerUS/State | 0 | OH |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 45631 |
| IRS990/AllOtherContributions | 0 | 35004 |
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| IRS990/CashNonInterestBearing/BOY | 0 | 100866 |
| IRS990/CashNonInterestBearing/EOY | 0 | 52611 |
| IRS990/ChangesToOrganizingDocs | 0 | 0 |
| IRS990/CntrbtnsRprtdFundraisingEvents | 0 | 38067 |
| IRS990/CollectionsOfArt | 0 | 0 |
| IRS990/CompensationFromOtherSources | 0 | 0 |
| IRS990/CompensationProcessCEO | 0 | 0 |
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| IRS990/DepreciationDepletion/ManagementAndGeneral | 0 | 197 |
| IRS990/DepreciationDepletion/Total | 0 | 394 |
| IRS990/DescribedIn501C3 | 0 | 1 |
| IRS990/Description | 0 | SEE SCHEDULE OTHE FOUNDATION RECEIVES DESIGNATED MEMORIAL GIFTS, TO BE USED FOR EXPENSES OF HOSPICE PATIENTS WHO ARE SERVED BY THE HOLZER HOSPICE PROGRAM, AND FOR WHOSE CARE, REIMBURSEMENT MAY BE NON-EXISTENT. THESE FUNDS ARE USED TO COMPENSATE HOLZER MEDICAL CENTER BASED ON NON-REIMBURSED COSTS OR FOR OTHER EXPENDITURES NEEDED TO SUPPORT THE HOSPICE PROGRAM. $67,636 IN RESTRICTED FUNDS WAS UTILIZED IN 2012. THE WELLNESS PROGRAM AT HOLZER MEDICAL CENTER IS DEDICATED TO PROVIDING FREE SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL, BLOOD GLUCOSE, BODY FAT ANALYSIS, BONE DENSITY, ETC., TO PEOPLE IN THE PRIMARY SERVICE AREA. THIS IS ACCOMPLISHED THROUGH SPECIAL EVENTS, COMMUNITY PROGRAMS, VISITS TO SENIOR CENTERS THROUGHOUT THE YEAR, AND DURING THE SUMMER AND EARLY FALL, THROUGH COUNTY FAIRS AND FESTIVALS. THE HOSPITAL'S MOBILE UNIT IS ALWAYS INVOLVED TO PROVIDE FREE SCREENINGS AND VALUABLE HEALTH CARE INFORMATION. THE FOUNDATION PAYS FOR SPECIFIC SUPPLIES TO MAKE THESE SCREENINGS AND PROGRAMS POSSIBLE. $2,671 IN RESTRICTED FUNDS WAS UTILIZED IN 2012.THE FOUNDATION AWARDS SCHOLARSHIPS TO DESERVING STUDENTS WHO APPLY, WANTING TO ADVANCE THEIR EDUCATION AND EARN THEIR BSN DEGREES. THE MONEY FOR THESE SCHOLARSHIPS COMES FROM THE INTEREST EARNED ON THE THREE SCHOLARSHIP FUNDS WHICH ARE A PART OF THE FOUNDATION (THE KAREN HUDSON SCHOLARSHIP, THE BEN W. MULLINS MEMORIAL NURSING SCHOLARSHIP, AND THE SAYRE SCHOLARSHIP) OR FROM SPECIAL GIFTS SO DESIGNATED. THREE SCHOLARSHIPS WERE AWARDED IN THIS FISCAL YEAR. $3,000 IN RESTRICTED FUNDS WAS SPENT. |
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| IRS990/FeesForServicesAccounting/ManagementAndGeneral | 0 | 1500 |
| IRS990/FeesForServicesAccounting/Total | 0 | 1500 |
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| IRS990/LoanToOfficerOrDQP | 0 | 0 |
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| IRS990/MissionDescription | 0 | WE WILL ENCOURAGE WELLNESS AND STRIVE TO IMPROVE THE HEALTH STATUS OF THE PEOPLE AND COMMUNITIES WE SERVE. |
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| IRS990/NameOfPrincipalOfficerPerson | 0 | KENNETH PAYNE |
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| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 0 | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF JUNE 30, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE SYSTEM FILES FEDERAL AND STATE TAX RETURNS AND BELIEVES IT IS NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE FISCAL YEAR 2009. |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 0 | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| IRS990ScheduleD/Form990ScheduleDPartXIV/ReturnReference | 0 | PART X: |
| IRS990ScheduleD/InvestmentsProgramRelated/BookValue | 0 | 1050716 |
| IRS990ScheduleD/InvestmentsProgramRelated/Description | 0 | OBV TRUST |
| IRS990ScheduleD/InvestmentsProgramRelated/MethodOfValuation | 0 | F |
| IRS990ScheduleD/OtherLiabilities/Amount | 0 | 368 |
| IRS990ScheduleD/OtherLiabilities/Amount | 1 | 36693 |
| IRS990ScheduleD/OtherLiabilities/Description | 0 | RELATED PARTY PAYABLES |
| IRS990ScheduleD/OtherLiabilities/Description | 1 | ACCRUAL FOR CHARITABLE GIFT ANNUITY |
| IRS990ScheduleD/TotalOfAmounts | 0 | 37061 |
| IRS990ScheduleD/TotalOfBookValueLandBuildings | 0 | 1378 |
| IRS990ScheduleD/TotalOfBookValueProgramRelated | 0 | 1050716 |
| IRS990ScheduleG/EventsInformation/CharitableContributionsEvent1 | 0 | 38067 |
| IRS990ScheduleG/EventsInformation/CharitableContributionsTotal | 0 | 38067 |
| IRS990ScheduleG/EventsInformation/DirectExpenseSummaryEvents | 0 | 6468 |
| IRS990ScheduleG/EventsInformation/FoodAndBeverageEvent1 | 0 | 2000 |
| IRS990ScheduleG/EventsInformation/FoodAndBeverageTotalEvents | 0 | 2000 |
| IRS990ScheduleG/EventsInformation/GrossReceiptsEvent1 | 0 | 46917 |
| IRS990ScheduleG/EventsInformation/GrossReceiptsTotal | 0 | 46917 |
| IRS990ScheduleG/EventsInformation/GrossRevenueEvent1 | 0 | 8850 |
| IRS990ScheduleG/EventsInformation/GrossRevenueTotalEvents | 0 | 8850 |
| IRS990ScheduleG/EventsInformation/NameOfEvent1 | 0 | CELEBRITY DINNER |
| IRS990ScheduleG/EventsInformation/NetIncomeSummary | 0 | 2382 |
| IRS990ScheduleG/EventsInformation/OtherDirectExpensesEvent1 | 0 | 4468 |
| IRS990ScheduleG/EventsInformation/OtherDirectExpensesTotalEvents | 0 | 4468 |
| IRS990ScheduleI/Form990ScheduleIPartIV/Explanation | 0 | SCHEDULE I, PART I, LINE 2: HOLZER FOUNDATION PERIODICALLY PROVIDES SUPPORT TO RELATED TAX-EXEMPT ORGANIZATIONS. |
| IRS990ScheduleI/Form990ScheduleIPartIV/Identifier | 0 | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: |
| IRS990ScheduleI/Form990ScheduleIPartIV/ReturnReference | 0 | PART I, LINE 2: |
| IRS990ScheduleI/RecipientTable/AddressUS/AddressLine1 | 0 | 100 JACKSON PIKE |
| IRS990ScheduleI/RecipientTable/AddressUS/City | 0 | GALLIPOLIS |
| IRS990ScheduleI/RecipientTable/AddressUS/State | 0 | OH |
| IRS990ScheduleI/RecipientTable/AddressUS/ZIPCode | 0 | 45631 |
| IRS990ScheduleI/RecipientTable/AmountOfCashGrant | 0 | 106796 |
| IRS990ScheduleI/RecipientTable/DescriptionOfNonCashAssistance | 0 | N/A |
| IRS990ScheduleI/RecipientTable/EINOfRecipient | 0 | 314379491 |
| IRS990ScheduleI/RecipientTable/IRCSection | 0 | 501(C)(3) |
| IRS990ScheduleI/RecipientTable/MethodOfValuation | 0 | N/A |
| IRS990ScheduleI/RecipientTable/PurposeOfGrant | 0 | TO SUPPORT HOSPICE CENTER. |
| IRS990ScheduleI/RecipientTable/RecipientNameBusiness/BusinessNameLine1 | 0 | HOLZER HOSPITAL FOUNDATION |
| IRS990ScheduleI/RecordsMaintained | 0 | 1 |
| IRS990ScheduleI/TotalNbrOf501C3AndGovtGrants | 0 | 1 |
| IRS990ScheduleI/TotalNbrOfOtherOrganizations | 0 | 0 |
| IRS990ScheduleJ/AnyNonFixedPayments | 0 | 0 |
| IRS990ScheduleJ/CompBasedNetEarningsFilingOrg | 0 | 0 |
| IRS990ScheduleJ/CompBasedNetEarningsRelateOrgs | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFilingOrg | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueRelatedOrgs | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrangement | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 1 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 0 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 0 | 306199 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 1 | 206813 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs | 2 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 0 | 0 |
| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg | 1 | 0 |
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| IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs | 1 | 0 |
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Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $1,104,705
- Liabilities
- $37,061
- Net assets
- $1,067,644
- Revenue
- -
- Expenses
- $182,298
- Net income
- -